Marketing Discovery Survey Name First Last Practice Name PhoneEmail What is the primary purpose of marketing the practice? What, if anything, would you like to change about your current marketing?What are your practice goals? (example: increase production, more new patients) Describe your ideal patient in the box below.Does your current patient base reflect your description above? What do you want you patient to feel when they encounter your brand?What is your perception of your local competition? What are they doing to attract patients?I place a higher value on (select one)Quantity of patientsQuality of patientsHow many new patients do you average each month? How many new patients do you want each month? What is your average monthly production goal? How much do you produce each month? What percentage of your production do you collect? What is your number 1 referral source of new patients? (If you do not know, you can run a referral report/s from your practice management software.) What percentage of new patients come from existing patients? Check the box next to all marketing you've done. Website Search Engine Marketing Content Marketing Social Media Marketing Internal Marketing (services or product) Direct Mail Newspaper Ad Magazine Ad Online Ad Phone Directory Community Events Blog Television Radio Busines to Business Referral Campaign Email Marketing Other* *if other selected above please specify Does your logo represent your practice? Rank on scale of 0-5. 0-no, 5 yes very much. 0 1 2 3 4 5 N/A I don't have a logo Do you have a website?YesNoAre you happy with your website?YesNoWhat do you dislike about your current website?On a scale of 1-5 (1-not active, 5-very active) how active are you on social media? 1 2 3 4 5 What did you invest in the past 12 months on marketing? What do you have budgeted for your marketing for the next 12-months? Please Upload Any Ongoing Marketing Agreements You Have.Max. file size: 20 MB.This will help us to evaluate the value you are receiving for the work being done.What type of dentistry interests you most? Select one. General/Family Cosmetic Restorative Dental Implants Periodontal Surgery Oral Surgery Pediatric Orthodontics Other* *if other selected above please specifyPlease list any particular treatments or services you wish to market and promote within your practice.Anything else you want us to know? Please type below.